MEDICARE: VIRGINA TOMPKINS ROWLEDGE BCHIS HEARING INSTRU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	AS1317	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J0040	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1225240864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIRGINA TOMPKINS ROWLEDGE BCHIS HEARING INSTRU

Provider Business Mailing Address
First Line	:	380 TAMIAMI TRAIL N
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-5803
Country	:	US
Telephone Number	:	239-262-2288
Fax Number	:	239-263-8378

Provider Business Practice Location Address
First Line	:	380 TAMIAMI TRAIL N
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-5803
Country	:	US
Telephone Number	:	239-262-2288
Fax Number	:	239-263-8378

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	07/08/2007

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